Provider Demographics
NPI:1932358215
Name:LAMBA, TRISHAL S (DDS)
Entity Type:Individual
Prefix:
First Name:TRISHAL
Middle Name:S
Last Name:LAMBA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 UNIVERSITY DRIVE, SUITE 7
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-2761
Mailing Address - Country:US
Mailing Address - Phone:650-326-1682
Mailing Address - Fax:
Practice Address - Street 1:1300 UNIVERSITY DRIVE, SUITE 7
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2761
Practice Address - Country:US
Practice Address - Phone:650-326-1682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA573481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice